Laparoscopic management of isolated traumatic gall bladder injury accompanied by operative cholangiogram (Case Study) | ||||
| Ain Shams Journal of Surgery | ||||
| Article 3, Volume 3, Issue 1, January 2010, Page 27-39 PDF (84.86 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2010.177468 | ||||
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| Authors | ||||
| Abd Elrahman Elmaraghy1; Ahmed M Kmal2; Rabbah Abd Ellateef1 | ||||
| 1Department of General Surgery, Ain Shams University, Cairo, Egypt. | ||||
| 2Department of General Surgery, Ain Shams University, Cairo, Egypt | ||||
| Abstract | ||||
| Background and objectives: Blunt trauma to the gallbladder is a rare entity, particularly when no other organ is injured. In isolated blunt traumatic injury to the gallbladder, treatment options vary depending on the specific injury. The types of blunt trauma injuries to the gall- bladder and their appropriate management are discussed. In addition, a case of blunt traumatic gall bladder injury that has been successfully managed with minimally invasive techniques is presented. This is accompanied by laparoscopic cholangiogram in order to precisely define extra hepatic biliary tree for possibly distorted anatomy and for exclusion of other biliary injury. Methods: A patient with blunt abdominal trauma was safely managed with laparoscopic surgery for isolated gallbladder trauma. The preoperative and operative management are dis- cussed as well as the application of minimally invasive surgery for this rare process. Results: Laparoscopic cholecystectomy with intra-operative cholangiography was performed successfully. The patient did well postoperatively with no complications. No other injuries were identified at the time of laparoscopy. Conclusion: Minimally invasive techniques may be safely applied to blunt trauma of the gallbladder in certain circumstances. | ||||
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